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  • Brillante (HMO-POS)

    Part B Premium Contribution
    $40 per month
    Purchases and payments benefit It accrues!
    Not covered
    Funds for OTC purchases
    $30 every 3 months
    Comprehensive Dental
    $3,000 per year
    Eyeglasses
    $300 per year
    Preferred brand prescription drugs
    $10 copay
    Hearing aids
    $2,000 every 3 years
    Transportation
    30 trips per year
  • Contigo Plus (HMO-SNP)

    For people with diabetes, chronic heart failure, and cardiovascular conditions.

    Part B Premium Contribution
    $70 per month
    Purchases and payments benefit It accrues!
    $25 per month
    Funds for OTC purchases
    $25 every 3 months
    Comprehensive Dental
    $3,050 per year
    Eyeglasses
    $500 per year
    Preferred brand prescription drugs
    $0 copay
    Hearing aids
    $500 every 3 years
    Transportation
    12 trips per year
  • Enlace Plus (HMO)

    Part B Premium Contribution
    $80 per month
    Purchases and payments benefit It accrues!
    Not covered
    Funds for OTC purchases
    $100 per month
    Comprehensive Dental
    $1,600 per year
    Eyeglasses
    $400 per year
    Preferred brand prescription drugs
    $0 copay
    Hearing aids
    Not covered
    Transportation
    6 trips per year
  • ContigoEnMente (HMO-SNP)

    For patients with dementia.

    Part B Premium Contribution
    $60 per month
    Purchases and payments benefit It accrues!
    $75 per month
    Funds for OTC purchases
    $125 per month
    Comprehensive Dental
    $2,500 per year
    Eyeglasses
    $400 per year
    Preferred brand prescription drugs
    $0 copay
    Hearing aids
    $1,250 every 3 years
    Transportation
    28 trips per year

I wish to receive information about the coverage products and services offered by Triple-S Advantage

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By completing this form, you agree to a meeting with a sales agent to discuss the types of products you check above. Please note, the person who will discuss the products is either employed or contracted by a Medicare plan. They do not work directly for the Federal government. This individual may also be paid based on your enrollment in a plan.

This selection does NOT obligate you to enroll in a plan, it does not affect your current membership, and it will not enroll you in another Medicare plan.

Member Service

1-888-620-1919

TTY/TDD users

1-866-620-2520

Monday thru Sunday,
from 8:00 a.m. to 8:00 p.m.

Service for Providers

1-855-886-7474

Monday thru Friday,
from 8:00 a.m. to 5:00 p.m.

TeleConsulta

1-800-255-4375

Dedicated TeleConsulta for TTY/TDD Callers: 711 | 1-855-209-2639

TeleConsejo

1-877-879-5964

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